Individual
DR. ERNST NICOLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7051 SOUTHPOINT PKWY S STE 300, JACKSONVILLE, FL 32216-8713
(904) 398-2720
(904) 398-6408
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME31869
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
ME31869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15445
BCBS-FL
FL
01
—
NS943
MEDICARE
FL
01
—
Q00069488
RAILROAD MEDICARE
FL
Enumeration date
01/17/2006
Last updated
05/27/2022
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